Sara Kelner, LPCC LMAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

888-10-15-16-377 Issued in ND

Practice address

211 4TH St NE Ste 7
Devils Lake, ND 58301-2479

Phone

(701) 381-9911

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sara Kelner LPCC Lmac PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Devils Lake, ND
  • NPI 1306410550

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Evolution Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Devils Lake, ND
  • NPI 1073187860

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1851771539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "583240151",
            "telephone_number": "701-440-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST NE STE 7",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012479",
            "telephone_number": "701-381-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELNER",
        "first_name": "SARA",
        "credential": "LPCC LMAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1765",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "888-10-15-16-377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.